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1609455336
AMANDA MOFFETTONE
PORT JEFFERSON, NY
NPI
1609455336
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: NY 111986-01)
Enumeration Date
2021-04-08
Last Update Date
2021-04-08
Business Address
AMANDA MOFFETTONE LMSW
1000 MAIN ST
PORT JEFFERSON, NY 11777-2250
Phone number: 631-296-1113
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Mailing Address
AMANDA MOFFETTONE LMSW
1000 MAIN ST
PORT JEFFERSON, NY 11777-2250
Phone number: 631-296-1113
Copy
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